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Apytele

@ Apytele @sh.itjust.works

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38
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141
加入于
3 yr. ago

I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I'm going to troll you back. FAFO.

  • So now that it's that time of year again in the US, what are some tips and tricks for dealing with that one relative who goes on about the same bullshit for hours and won't shut the fuck up?

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  • I've been working inpatient psychiatry for almost a decade now and here's how we talk people out of delusions...

    ...you don't. Confronting the delusion directly helps their brain practice protecting the false belief system and strengthens the neural links / pathways. It's like the ruts made by a wagon wheel, the more the wagon travels the path the deeper they get. You can try and haul the wagon up out of the ruts onto a different part of the road using brute strength but 10 seconds later it's gonna fall back in and you'll exhaust yourself trying to wear a new track so close to the old one. You're much better served just sending the wagon somewhere else entirely and waiting for the ruts to erode on their own (this metaphor also maps well to addictive / difficult to discontinue behaviors; it's often easier to disengage from the entire constellation of behaviors and stimuli around the habit, including things like people and places, than it is to just stop the habit itself).

    So if you really do love this person and want to bring them out of it, do your best to send the wagon somewhere else. Just glaze over for a second while they rant, then change the subject and engage fully with something reality based you can create a connection with. Try to connect over knitting or gardening or woodworking or music or old movies or sports or whatever other hobby or social activity / discussion you can use to connect with them over that's reality based.

    That's how COVID sucked them into all this. It broke up the knitting groups and gardening clubs and cooking classes and all anybody had left to socialize with was Facebook conspiracies. If we want out, we need to focus on rebuilding those communities.

  • Amazing

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  • I mean. There was also 0025, 0125, 0225... It's actually fallen on 25/25/25 20 times now...

  • Is it okay for a therapist to tell me to just accept this trait?

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  • I'm getting a lot of help from medication, but I have waaay too much anxiety to take a proper stimulant, so I take an SNRI instead which has the added benefit of not requiring jumping through a bunch of hoops every month to get (as you say, hard with ADHD). You do also need to understand that medication will NOT replace the need to learn coping mechanisms, but it may make it easier to do so. It probably is worth finding someone willing to use medication.

  • A scam call center opened in the office next door. Who do I report them to?

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  • The university cops are great where I am but the city cops are very hit and miss. The university cops were my backup for violent patients when I worked the medical center and they actually had pretty decent deescalation skills. At the very least they would just defer to me and standby assist unless I specifically told them to initiate a hold. And when they were doing standbys they wouldn't verbally threaten or physically impose they'd just stand loosely at my shoulders and be like "hey buddy we're just here to keep everybody safe." Vs the city cops are only allowed on the unit long enough to serve involuntary admission paperwork like "hey here's your copy of the form signed by the magistrate that says these nurses can't let you off the unit." Which is good because they're like 25% decent, 25% matter-of-fact (acceptable), but like 50% are assholes.

    Like some patients are super entitled, yelling racial slurs, spitting, etc and I understand it's difficult to keep your composure if you're not specifically trained to (although they really should be) but a lot of patients are clearly just not with it. Like either wildly delirious and rambling about alien conspiracies or just straight up visibly developmentally delayed. And I've seen officers talking shit to people with like obvious high needs autism, downs, etc and the best I can do is just tell the cops to give them the paperwork in the mousetrap and hurry the patient inside but like. What the fuck.

    It's kind of cute though when you get a new one who just recently got the job to Help People™ so they're not a bastard yet and this is one of their first experiences with a psych hold and they're standing there with their body cam on having just unlocked the cuffs and the patient just immediately yanks their pants down and starts screaming about the invisible snakes and spiders on their genitals and the baby cop just 😦

  • its a psyop, isn't it?

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  • Have you ever met a truly evil person? What happened?

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  • As a psych nurse I've only met two people who actually unsettled me, both turned out to be serial murderers. I used to work forensics specifically (the "criminally insane"), so I've met lots of rapists, murderers, and a ton of pedophiles. Most of them are just either pathetic and trying to not go to prison where they'll get their shit kicked in, or did something real stupid while not knowing their ass from a hole in the ground. As long as you follow some basic rules you'll be fine (don't be alone with them or within arms reach if you can help it, bring a buddy if you do, and never let them between you and the door, etc.) and honestly half of that is more for their safety than yours (you'd win the fight, but you'd be in a lot of trouble).

    But both of these dudes just gave me an instant back of the neck prickle. All you can do is interact as little as possible, exit every situation as soon and as smoothly as you can, protect your newer workers who don't know better, and hope the doctor discharges them ASAP. There's no fixing that and all you can do is escape and hope they quickly go somewhere they can be contained properly (ideally a max security prison).

  • its a psyop, isn't it?

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  • A lot of people say it's because they're ugly or poor. I grew up redneck. There's people with beer guts and no teeth fucking in trailers and making ugly babies. And you know what? They throw absolute bangers purely by merit of how few fucks they give. They'll pile three of those ugly kids on a floatie in their above ground pool and dance to the world's shittiest music while taking down a six pack each and pouring sweet baby Ray's on grilled bologna, then end the night losing fingers to fireworks bought across state lines. They'll have four fingers total left on both hands and they'll still fuck. These people are letting toothless trailer trash outfuck them and acting like it's every one else's fault.

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    apparently, the T button dosent exist for some people

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  • I felt the same way about the person with the third person pronouns. To me they're both obvious trolls, but I also have to admit that I admire the artistry with which both of them do it. They're not hateful. They don't abuse anyone. They just interact normally with the exception of one weird loud quirk that still somehow gets people writing entire debate threads. Both Diogenes and Horace De Vere Cole would be in awe.

  • First snake to be covered in vegan butter?!?

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  • Look at that big dumb adorable baby with her big dumb adorable head. Look into those adorable little eyes on top of that blunt little snoot. That is a empty head. 0 thoughts. Give her a boop for me.

  • What's the android version of getting annoyed with windows and installing linux mint?

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  • This idea I like most out of the suggested options, ty

  • What's the android version of getting annoyed with windows and installing linux mint?

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  • What's the android version of getting annoyed with windows and installing linux mint?

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  • What's the android version of getting annoyed with windows and installing linux mint?

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  • First thing out of hubs mouth when I mentioned hearing about it: "That was their only advantage over apple!"

  • What's the android version of getting annoyed with windows and installing linux mint?

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  • Actually what finally spurred me to ask this question.

  • What's the android version of getting annoyed with windows and installing linux mint?

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  • One of my devices is the atom already. I'm more wondering what I can do with my other devices I already have

  • Anyone?

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  • Honestly they don't even read like honest speculation. They read more like an inside joke the same way people joke about what blackmail material their shitty coworker must have on the boss to somehow never get fired.

  • Looking for a one-time paid (non-subscription) TTS program for android

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  • Gonna keep trying but it is definitely not working out of the box...

  • Looking for a one-time paid (non-subscription) TTS program for android

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  • Sorry android should have specified you're right lol

  • What's your professional deformation?

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  • I've been working in high acuity psychiatry for 10 years. I notice when doors don't click shut behind me and if I don't hear a solid click or an electric lock whirring sound I get the urge to check the handle, even at home / in my apartment complex. I can feel people behind me on the street if they're closer than about 20 feet back. I don't like sitting without a wall behind me (it was weird going back to school and explaining that my ADHD preferential seating accommodation was the back row, not the front).